Pharmacomechanical Recanalization of an Aged Radiocephalic Fistula with Acute Flush Occlusion

  • Performed Jan 2011
A 39-year-old male patient had been undergoing renal dialysis through a right radiocephalic fistula (Brescia-Cimino) for almost 11 years. The referring nephrologist reported difficulty in cannulation and signs of blood recirculation for the past 4 weeks until he observed complete loss of thrill and pulsation 2 days ago. Further duplex ultrasonographic examination identified complete thrombosis of the forearm venous component of the autologous communication, while the radial artery appeared patent. The patient was referred to our angiography unit for an attempt of percutaneous salvage of the aged autologous vascular access prior to surgical creation of a new one. The patient had an otherwise free medical history apart from chronic hepatitis

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